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Pediatric intestinal obstruction: analysis of etiologies and factors influencing short-term outcomes in Rwanda

World Journal of Pediatric Surgery 2022年第4期5卷 255-260页

作者： Isaie Twahirwa cyriaque ndayiragije Martin Nyundo Jennifer Rickard Edmond Ntaganda Surgery University of Rwanda College of Medicine and Health SciencesKigaliRwanda Surgery University Teaching Hospital of ButareButareRwanda Surgery University Teaching Hospital of KigaliKigaliRwanda Surgery University of MinnesotaMinneapolisMinnesotaUSA

Background Intestinal obstruction is a common presentation in pediatric surgical emergencies and presents with different etiologies depending on country or *** morbidity and mortality are high in low-income and middle-income countries,with variable influencing *** aims of this study were to determine the etiologies,morbidity and mortality of pediatric intestinal obstruction and to assess the factors associated with the outcomes of these conditions in *** This was a cross-sectional study conducted on pediatric patients with intestinal obstruction in two Rwandan university teaching *** patients were followed from admission until discharge,and we documented their basic characteristics,diagnosis,operative details and postoperative *** were collected using data collection form and were electronically captured and analysed using SPSS *** A total of 65 patients were enrolled in this *** were predominantly male(n=49,75.4%),and the majority of patients(86.2%)were below age 6 *** was the most common etiology(n=22,33.8%).Other common etiologies were Hirschsprung’s disease(n=13,20%),incarcerated inguinal and umbilical hernias(n=6,9.2%),intestinal worms’impaction(n=5,7.7%)and adhesions(n=5,7.7%).Mortality and morbidity were 9.2%and 39.7%,*** most common complications were surgical site infection(n=6,9.5%)and sepsis(n=6,9.5%).Preoperative anemia(p=0.001),finding of gangrenous bowels(p=0.003)and bowel resection at the time of laparotomy(p=0.039)were factors associated with postoperative *** The etiologies of intestinal obstruction are variable and common in children below 6 years in *** associated morbidly is high and is influenced by the preoperative anemia,finding of gangrenous bowels and bowel resection.

关键词： obstruction anemia diagnosis

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